Endings

The actions you do and the items you obtain and examine will influence the ending you receive. To help
achieve a particular ending, refer to the guide below which illustrates what actions you should and shouldn't perform.

"Leave" Ending

Perform

Listen to the entire hallway conversation

Examine Mary's picture and letter occasionally

Heal immediately after being hurt

Exceed maximum health limit

Avoid

Do not stay close to Maria

Do not attempt to return to Nathan Ave. after meeting Maria

"Maria" Ending

Perform

Stay close to Maria

Make sure Maria recieves little damage

Revisit Maria's hospital room when she lays down

Room S3, 3F, Brookhaven Hospital

Try to return to Maria's jail cell after exiting

Labyrinth

Avoid

Do not examine Mary's picture and letter

Do not stray far from Maria or bump into her often

Do not attempt to return to Nathan Ave. after meeting Maria

"In Water" Ending

Perform

Stay at low health throughout the game

Examine Angela's knife often

Read the diary on the hospital roof

RF, Brookhaven Hospital

Read the second message to James

Bar Neely, after leaving Brookhaven Hospital

Listen to the headphones, after watching the video tape

Reading Room, 2F, Lakeview Hotel

Listen to the entire Hotel hallway conversation

Avoid

Do not heal right after taking damage

Do not return to check on Maria if given the opportunity. Avoid her at all costs

"Rebirth" Ending

This is a special ending that can only be unlocked after you complete the game once and replay the game off the
same Save File. To learn more details about the items below, refer to the
Items, Keys & Weapons page.

Perform

Collect item "White Chrism"

Room 105, 1F, Blue Creek Apartments

Collect item "Book of Lost Memories"

Texxon Gas Station newspaper dispenser

Collect item "Obsidian Goblet"

Shattered display cabinet, Silent Hill Historical Society

Collect item "Book of Crimson Ceremony"

Bookshelf in the Reading Room, 2F, Alternate Lakeview Hotel

"Dog" Ending

This is "joke" ending that can only be obtained by receiving all three normal endings ("Leave," "Maria" and "In Water") or the
"Rebirth" ending on the same Save File.

"UFO" Ending

This is a "joke" ending that can only be obtained by completing both the "Letter From Silent Heaven" and "Born From a Wish"
scenario once on the same Save File. This ending is only available on certain versions of the game. Refer to the
Regions and Platforms
section to find which versions include this ending.